Posts Tagged ‘illness’

However hard it is to leave your kid screaming at nursery, it is a whole different level of difficult to leave him slumped and silent under a general anaesthetic, to help carry him in his tiny gown to the operating table, and then be ushered out of the room by a host of scrubbed up surgeons. What can you do for those impossibly long two and a half hours? You can barely read a twitter feed, certainly not a book. I spent most of it sitting beside his empty ward bed, with my eyes closed, counting my breaths.

I’m so glad to say that Ezra is getting better. In fact, I have just left him for a couple of hours at nursery (they were instructed to phone me if the initial scream lasted more than two minutes!). But he has been very unwell. And we have all been through the hell of it.

The problem with raising a toddler is that there is almost always an excuse for something being up – teeth, a developmental surge, a reaction to the MMR vaccine, separation anxiety, a virus picked up at nursery …

Ezra is now fifteen months old, and started nursery in January. I remember when Vita began nursery, she picked up something slightly grim pretty much every week, so I didn’t think much of Ezra being in a bad mood for a couple of weeks. And then there was the MMR jab, and then there were three molars coming through, and then … and then I began to think hang on a minute, perhaps there is something else wrong. The thing is, he was confidently walking when he turned one, but stopped after getting a nursery bug, and didn’t start again. After 3- 4 weeks, I noticed that he had practically stopped crawling, and just wanted to sit on my lap. He didn’t seem too happy standing either, and would slump over the table or whatever it was he was holding on to.

He’s fine, said the GP. It’s just that his confidence has been knocked, since getting that virus a couple of weeks’ ago, and he is getting used to being separate from you. Send him back to nursery, you are being a very good role model to him by working, don’t feel bad about it.

We were going through a week where whenever we got Ezra up from a sleep he screamed, inconsolably, for about 45 minutes. The next day I picked him up from nursery and they told me he had cried pretty much all day. Although he was crying a lot with me too, I thought that if he really was missing me quite that much, I would take a few days off work and see if that helped.

Then next morning I took him to see a health visitor. They jotted his weight down in his red book and didn’t tell me that he weighed less than he did a fortnight ago. I explained the full situation. Take him straight back to nursery, she said, he is a perfectly healthy child. We talked for about twenty minutes. She didn’t think it was strange that he cried when taken off my lap, that he was uninterested in going over to the box of toys, and told me that most people ‘couldn’t afford the luxury of taking time off work’, like me. She said she’d call me in a week to see how I was getting on. I’ve not heard from her.

That was on a Friday. On the Monday I went back to the GP. By this point, Ezra was crying when I left him sitting down, and I noticed that he soon rolled on to his tummy to play. It was a different GP this time, and he paid me more attention. He doesn’t need to go to A&E, he said, there are no acute symptoms, but something does seem to be not quite right. I would like to see a paediatrician, I said. He phoned up the hospital and spoke to one. I got an appointment for that Wednesday.

I turned up to UCH children’s outpatients with everything written down on a postcard, ready to try again to convince a doctor that something was wrong. I am a second-time parent and seriously concerned about him, I began. The doctor looked at me, looked at Ezra, called in another doctor and then said: he needs blood tests now, and an MRI scan today; we’ll admit him.

That afternoon, we sedated Ezra for his MRI, and I sat in the dark beside the machine for the hour and a half he was in it. His ears were triply protected from the strange thudding rhythms of the scan, and he looked like a little space man, so small in that enormous machine. He is so small, I kept thinking. He is too small for this.

That night, Ezra fell asleep in the sling on me, and we were waiting to go on ‘home leave’ till the morning. Some of the blood tests had come back earlier on. The good news is it’s not muscular dystrophy, the doctor had said.

The night shift doctor came in. I’ve had a look at the MRI scan, she said. The good news is his brain looks fine.

I think I can see the problem. Do you want to sit down? she asks. There is a very bright patch on his spine. It looks to me like it could be an infection in a disc between the vertebrae, which might have spread into the vertebrae. This is treatable with a course of antibiotics.

There is a pause while I hear Ezra’s snuffly breaths on my chest and try to process exactly what she has said. I repeat it all back to her. Great, I say. So he just needs some antibiotics.

The doctor explains this would be six weeks of a daily dose of intravenous antibiotics. A serious medical procedure. That is, she said, if it is discitis.

And what if it isn’t?

Well it could be a malignancy. It doesn’t scream cancer to me, but we need the neurosurgeon at Great Ormond Street to look at it, and that won’t be until the morning.

Ezra and I got a cab home, in which I found myself, ridiculously, sending some work emails.

The next morning we were told it was almost certainly not cancer. They wanted Ezra to have a biopsy, partly to be sure, but moreover so that they could see which bacteria was causing the infection so that they could treat it with the right antibiotic. In the meantime, they would treat it blind. Ezra endured the first of five cannulas being fitted, and the first dose of antibiotics was given. This, combined with a constant rotation of calpol and nurofen, meant that by the next morning he was already a little better, clambering around the baby sensory room so much that it was clear a cannula wasn’t going to last long.

We were in and out of UCH for the next few days, and then got a bed at Great Ormond Street on the Sunday, for the biopsy to happen on the Monday morning. They would also insert a PICC line – a very long line that comes out of his arm and goes all the way into his heart. It would mean no more cannulas, and no more painful pricks for blood tests. It was a nil-by-mouth: we could wake him for some milk at 2am, he could have water until 6.30 am and then that nothing. By 10.30 am Ezra had flopped asleep on the husband’s shoulder as we walked round and round the ward.

He’s not going to have it today, a nurse ran up and said. You can give him something to eat.

What? Why? What? Why? When? But…

We will try to find a slot for him later this week.

After kicking up a stink and phoning UCH to get them to kick up a stink, we were scheduled for the next morning. That’s when I left him in the operating room.

That first trip to UCH outpatients was four weeks’ ago today. A nurse has been coming to our home every day to administer the antibiotic – it takes about an hour. She has taught me how to make up all the syringes and give it to him myself, so this week we have started to do it on our own, over breakfast. We have another two weeks to go.

We have weekly hospital appointments. Every time Ezra enters the treatment room – site of those early cannula fittings – he screams and makes a break for the exit. The doctors usually have to see us in the play room instead. They found two bacteria in the disc biopsy, both of which are normally found in the mouth. As it is so rare and weird for this to have happened, they are doing some further investigative tests to see if there is an underlying issue. We are waiting for the results for a complicated blood test that shows if there is something wrong with his immune system. We are back at Great Ormond Street for a heart scan on Friday. I am trying to concentrate on the fact that he is recovering well from the infection.